MEDICARE: ANN MALECHA RN, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC1600X	Continuing Education/Staff Development Registered Nurse	614733	TX

General Provider Information

NPI Number	:	1811701055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MALECHA RN, PHD

Provider Business Mailing Address
First Line	:	23 FOSTERS GREEN DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5868
Country	:	US
Telephone Number	:	832-236-7036
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2343
Country	:	US
Telephone Number	:	713-794-2725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2025
Last Update Date	:	02/06/2025

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